title: Retrograde pedal/tibial artery access for treatment of infragenicular arterial occlusive disease.
abstract: Endovascular intervention has emerged as an accepted modality for treating patients with critical limb ischemia. However, this therapy poses multiple challenges to the interventionalist due to the presence of widespread multilevel disease, long and complex occlusive lesions, and the common involvement of the tibial vessels. Retrograde pedal/tibial access is a relatively new technique that allows the treatment of tibial occlusive lesions when conventional endovascular techniques fail. This article reviews the technical details and published data regarding this technique and evaluates its use in this difficult-to-treat patient population.
authors.affiliation: Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA.
authors.forename: Hosam F
authors.initials: HF
authors.lastname: El-Sayed
mesh_terms: D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D016638:Critical Illness; D057510:Endovascular Procedures / Q000009:adverse effects; D006439:Hemodynamics; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D035002:Lower Extremity / Q000098:blood supply*; D011859:Radiography; D012039:Regional Blood Flow; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: critical limb ischemia; endovascular intervention; retrograde access; tibial arterial occlusive disease